Individual
LAMAR ANTHONY POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
60 GRANITE ST, LYNN, MA 01904-2915
(781) 477-6968
Mailing address
60 GRANITE ST, LYNN, MA 01904-2915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
215864
MA
Other
Enumeration date
09/29/2008
Last updated
06/24/2011
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